miRNA profiling of a mutation-negative PKD cohort reveals PKD1/PKD2 ADPKD shared signatures and differences

Bruna De Felice1, Ersilia Nigro1,2, Maria Amicone3

  • 1Department of Environmental, Biological and Pharmaceutical Sciences and Technologies, University of Campania "Luigi Vanvitelli", Caserta, Italy.

Epigenomics
|April 3, 2026
PubMed
Abstract

Insights

MicroRNA (miRNA) deregulation is present in autosomal dominant polycystic kidney disease (ADPKD) even without detectable PKD1/PKD2 mutations. This suggests common disease pathways and highlights miRNAs as potential biomarkers or therapeutic targets for ADPKD.

Area of Science:

  • Genetics
  • Molecular Biology
  • Biochemistry

Background:

  • Autosomal dominant polycystic kidney disease (ADPKD) is primarily caused by mutations in PKD1 or PKD2 genes.
  • A subset of ADPKD patients lacks detectable mutations and remains understudied.
  • MicroRNAs (miRNAs) play crucial roles in cellular processes and disease development.

Purpose of the Study:

  • To investigate miRNA expression profiles in ADPKD patients with and without detectable mutations in PKD1/PKD2.
  • To compare miRNA deregulation across mutation-negative ADPKD, PKD1-mutated ADPKD, PKD2-mutated ADPKD, and healthy controls.
  • To identify potential miRNA biomarkers and therapeutic targets for ADPKD.

Main Methods:

  • Targeted miRNA profiling was employed to quantify miRNA expression levels.
  • Statistical analysis involved Welch's two-sided t-test (p < 0.05) for five prespecified contrasts.
  • miRNA-mRNA interactions were mapped and visualized in networks for biological interpretation.

Main Results:

  • miR-92a was consistently upregulated across all ADPKD patient groups compared to controls.
  • The mutation-negative ADPKD cohort exhibited the most extensive miRNA deregulation, including enhanced extracellular-matrix remodeling.
  • Specific miRNA changes were observed, such as miR-134-5p reduction in PKD1 vs. mutation-negative comparisons.

Conclusions:

  • miRNA dysregulation is a feature of ADPKD, irrespective of identifiable PKD1/PKD2 mutations.
  • These findings support the existence of common molecular pathways in ADPKD pathogenesis.
  • Dysregulated miRNAs represent promising translational candidates for ADPKD diagnostics and therapeutics.